1.2b The Family in a Cultural Context Flashcards Preview

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Flashcards in 1.2b The Family in a Cultural Context Deck (30)
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1
Q

Culture of an Individual

A
  • Includes religion, environment and historic events.

- Essential element that defines people

2
Q

Cultural Knowledge

A
  • Beliefs, values and attitudes
  • Politics, social, and economic context
  • Shared belief and values of a group
  • Has a direct effect on health behavior
  • Influences perception of illness and healthcare seeking behavior
3
Q

Sub-culture

A
  • A group existing within a larger cultural system
4
Q

Acculturation

A
  • Changes that occur when groups of cultures come in contact with each other
  • People retain certain cultures and adopt new cultures
5
Q

Assimilation

A
  • Cultural group loses its cultural identity and becomes part of the dominant culture
6
Q

Ethnocentrism

A
  • The view that one’s own way is best
7
Q

Cultural Relativism

A
  • Learning and applying standards of another culture’s activities within that culture
8
Q

Cultural Relativism and Nursing

A
  • People from different cultures comprehend the same objects or situations differently
  • Culture determines viewpoint
  • Nurses do not need to accept other people’s beliefs but recognize that behavior of others system of logic can be different from their own
  • Affirms uniqueness and value of each culture.
9
Q

Strategies for Delivering Care

A
  • Breakdown language barrier
  • Explain rationale for suggestions
  • Integrate folk and western treatment
  • Enlist family caretaker and others
  • Get consent from the right people
  • Provide language appropriate material
10
Q

Providing Culturally Appropriate Care

A
  • Ask about traditional beliefs such as role of hot and cold
  • Be sensitive regarding interpreters and language barriers
  • Ask about important dietary practice (especially during childbirth)
  • Ask about group practices and beliefs
  • Ask about women’s fears regarding unfamiliar care setting.
11
Q

Communication

A
  • One of the most challenging barriers for nurses working with clients from different cultures
  • Includes understanding the individual, appreciating differences in interpersonal style, interpreting volume of speech, meanings of touch and gestures.
12
Q

Most Important Questions to Ask Client about Expectations of Pregnancy

A
  • What do you and your family think is most important to remain healthy during pregnancy
  • What can you do to improve the health of you and your baby
  • What foods make a healthy baby
  • Who do you want with you during labor
  • What can your labor support person do to help you be most comfortable
  • What actions are important for you after birth
  • What do you and your family expect from the nurses
  • How will family members participate in pregnancy, childbirth and parenting
13
Q

Interpreters

A
  • Inconsistencies between language of clients is a barrier to effective healthcare
14
Q

Interpreters

A
  • Health related language skills and experience
  • Should always be used in crisis or emergencies, or when family is extremely stressed and emotional
  • Questions should be addressed to woman and not interpreter
15
Q

Before your Interview

A
  • Outline statements and questions. List key information you need to know
  • Learn something about the culture so you can converse informally with the interpreter
16
Q

Meet with interpreter

A
  • Emphasize that you would like the client to ask questions regarding their care. (Some cultures consider this inappropriate)
  • Make sure interpreter is comfortable with technical terms you need to use
17
Q

During Interview

A
  • Make sure interpreter understands most important parts of the interview
  • Stop every now and then to ask interpreter how everything is going
  • Identify cultural issues that may conflict with your requests
18
Q

After Interview

A
  • Speak with interpreter to see how it went and what can be improved
19
Q

Personal Space

A
  • Different cultures have different appropriateness of personal space
  • Respect for distance allows woman to maintain control over personal space. This supports autonomy and increases their sense of security
20
Q

Developing Cultural Competence

A
  • Recognize disparities exist between own culture and one of client
  • Educate and promote healthy behaviors that has meaning to the client culturally
  • Communicate respect when client uses nontraditional healing practices and alternative therapies
21
Q

Promoting Family Health

A
  • Health promotion is primarily based on prenatal care and prevention of complications during perinatal period.
  • Nurses focus on collaborating with family, identifying risk factors, and providing health information to facilitate positive healthy behaviors.
  • Identifying learning needs of mother and father is the essential first step.
22
Q

Vulnerable Populations

A
  • Sociocultural, economic, and environmental risk factors contribute to disparities in health.
  • They disproportionately affect certain racial, ethnic, or other groups.
  • Differences in access to healthcare
  • Social determinants
  • Provider biases
  • Poor provider-client communication
  • Poor health literacy
23
Q

Women Disparities

A
  • Gender, socioeconomic status and race/ethnicity
  • Quality of care is different when compared to men
  • Lack of access to healthcare, lack of health insurance, living in medically unserved area, inability to obtain needed services such as prenatal care.
24
Q

Racial/Ethnic Minorities

A
  • Minority women have higher chance of chronic disease (heart disease, cancer, hepatitis, AIDS, mental issues)
25
Q

Adolescent Girls

A
  • Considered healthy but participate in risky behaviors
26
Q

Older Women

A
  • Higher life expectancy than men
  • More likely to have chronic illness
  • Less likely to use preventative services
  • Spend more on healthcare
27
Q

Incarcerated Women

A
  • Often have histories of IPV (intimate partner violence)

- HIV, substance abuse, and emotional damage due to absence of family.

28
Q

Immigrant, Refugee, Migrant Women

A

Immigrant - Move from one country to another to take up legal residency.
Refugee - Forced to leave home country in search for safer and more stable living condition
Access to healthcare is an issue due to not being US citizens
Migrant Workers - Work outside their home country
- Financial instability
- Child labor
- Poor Housing
- Lack of Education
- Language/cultural barriers
- Poor Dental
- Diabetes, hypertension, malnutrition, TB, skin disease

29
Q

Women rural vs urban communities

A
  • Rural affected more by poverty and poor access to healthcare. Fewer physicians choose to practice in rural areas also lack of insurance
  • Vulnerable to financial and transportation barriers to healthcare.
30
Q

Homeless Women

A
  • Health issues due to lack of preventative care and resources
  • Chronic illness, infectious disease, asthma, circulatory problems, diabetes, substance abuse, mental illness.
  • Lifestyle factors contribute to health issues
  • At risk for injury, illness, domestic abuse, assault, and rape.

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